Life of the Tube

The art of post-intubation management

 

 
 
 

Charlie Eisele, BS, NREMT-PJimmie Meurrens, BS, NREMT-P | | Tuesday, August 26, 2008


Is the juice worth the squeeze?

We ask ourselves that after every prehospital journal or magazine article we read. When we dive into the literature, we want to come out more knowledgeable and capable of using the information on our next call.

If you're like us, you like to know that you didn't waste 20 minutes or more reading something that's going to take another class or special permission to use. So we promise that after consuming the information in this article, you'll be able to immediately apply it and improve the level of care you deliver in the field.

Wake-Up Call

Nationally recognized EMS textbook author andJEMS contributing author Bryan E. Bledsoe, DO, FACEP, recently wrote, "[Endotracheal intubation] is problematic and the procedure should probably be stopped." He added, "Everybody better get used to LMAs, Combi-Tubes and similar rescue airways because routine prehospital ETI is probably a thing of the past."

For those who haven't heard about recent studies on the success rates and efficacy of prehospital intubation, Bledsoe's comments might seem like a step backward in prehospital medicine. But his concern is valid. Several prominent studies have strengthened a growing concern about this intervention, and as EMS professionals, we can't ignore what the science is showing us.

Specifically, we should note the findings from a St. Luke's-Roosevelt Hospital, Columbia University 2004 study. The researchers found that endotracheal (ET) tubes placed by paramedics in the prehospital setting were incorrectly placed "at a concerning rate


Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Airway and Respiratory, Patient Management, Training

 
What's Your Take? Comment Now ...

Featured Careers & Jobs in EMS

 

 

 

 

 

 

 

 

 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

The Evolution of Civilian High Threat Medical Guidelines

How mass killing events have proven a need for new guidelines.
More >

Multimedia Thumb

Fire Breaks Out on New Jersey Hospital Roof

Four-alarms in Bayonne for roof top blaze.
Watch It >


Multimedia Thumb

Ottawa Shooting, EMS Audio

Edited audio from the Parliament Hill incident.
Watch It >


Multimedia Thumb

Illinois Ambulance Service on Chopping Block

Peoria Heights EMS depends on property tax vote.
Watch It >


Multimedia Thumb

Kentucky Firefighters, Medics Drill for Ebola

Lexington firefighters and medics prepare for possible patients.
Watch It >


Multimedia Thumb

Ottawa Shooting Incident

Solider is shot by gunman at national memorial in Ottawa.
More >


Multimedia Thumb

Life Link III Trauma Tactics Conference in Minnesota

Conference was designed to enhance the skills of providers of all levels, covering rescue and prehospital situations, to transport and in-hospital treatment.
More >


Multimedia Thumb

EMS Tailgating

Rigs converted for football.
More >


Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


More Product Videos >